Starting an Adult Day Care Center

What You Need to Know for Success

An emerging business opportunity in long-term care is starting an adult day care center. Adult day centers play a vital role in the quality of life for our seniors. In this series of articles, we look at statistics for the industry, state rules, and regulations, certification, record keeping, service requirements, design environment, and safety, as well as staffing. Find out all you need to know about adult day care here.


The Need for Adult Day Services

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The Census Bureau reports more than 40 million people in the United States were over 65 in 2010. That will jump to 88 million by 2050. Community-based care is important. Combined with national initiatives to reduce hospitalizations, adult medical day services may be a good health care solution for your community.

The typical Adult Day Services (ADS) program was initiated in 1992 as a single-site, stand-alone, private, non-profit service provider. Let's take a look at what MetLife has uncovered.


Rules and Regulations by State

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With the growing trend for payers to want to keep people out of assisted living and skilled nursing facilities, other aging services become increasingly important. With increased importance comes increased scrutiny. This article provides an overview of adult day care rules and regulations.


Certification Requirements Overview

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The certification of these centers is important. In this article, we look at one state’s requirements – Oregon – as a template for other states and for providers contemplating entry into this market. Oregon is a progressive state so meeting their requirements should set you up well.


Record Keeping and Service Requirements

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All ADS programs must maintain a current roster of all participants with dates of admission and discharge. The ADS programs must also accurately record daily attendance, retain clinical records for seven years and financial and other records for at leave five years from the date(s) of service.


Design, Environment, Safety

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The facility housing the ADS program must comply with applicable state and local building regulations, zoning, fire and health codes or ordinances. It must be designed in such a way that it is accessible and functional in meeting the identified needs of the population it serves in accordance with the Americans with Disabilities Act.



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All employees and volunteers must have a background check. Each staff person and volunteer must be competent and qualified for the position held. Staff must hold personal information about participants and their families in confidence, treating all participants with respect and dignity. Let’s look at the requirements.

An emerging business opportunity in long-term care is starting an adult day care center. Adult day centers play a vital role in seniors' quality of life. And they also provide respite for family caregivers. Looking for a new business to start? This could be the one.

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